Exploring competing experiences and expectations of the revitalized community health worker programme in Mozambique

Detalhes bibliográficos
Autor(a) principal: Give, Celso Soares
Data de Publicação: 2015
Outros Autores: Sidat, Mohsin, Ormel, Hermen, Ndima, Sozinho, McCollum, Rosalind, Taegtmeyer, Miriam
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.1186/s12960-015-0044-0
Resumo: PMID: 26323393 WOS:000360350200001
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spelling Exploring competing experiences and expectations of the revitalized community health worker programme in MozambiqueAn equity analysisCommunityCommunity health workersEquityMozambiquePublic AdministrationPublic Health, Environmental and Occupational HealthSDG 3 - Good Health and Well-beingPMID: 26323393 WOS:000360350200001Introduction: Mozambique launched its revitalized community health programme in 2010 in response to inequitable coverage and quality of health services. The programme is focused on health promotion and disease prevention, with 20 % of community health workers' (known in Mozambique as Agentes Polivalentes Elementares (APEs)) time spent on curative services and 80 % on activities promoting health and preventing illness. We set out to conduct a health system and equity analysis, exploring experiences and expectations of APEs, community members and healthcare workers supervising APEs. Methods: This exploratory qualitative study captured the perspectives of a range of participants including women caring for children under 5 years (service clients), community leaders, service providers (APEs) and their supervisors. Participants in the Moamba and Manhiça districts, located in Maputo Province (Mozambique), were selected purposively. In total, 29 in-depth interviews and 9 focus group discussions were conducted in the local language and/or Portuguese. A framework approach was used for analysis, assisted by NVivo10 software. Results: Our analysis revealed that health equity is viewed as linked to the quality and coverage of the APE programme. Demand and supply factors interplay to shape health equity. The availability of responsive and appropriate services led to tensions between community expectations for curative services (and APEs' willingness to perform them) and official policy focusing APE efforts mainly on preventive services and health promotion. The demand for more curative services by community members is a result of having limited access to healthcare services other than those offered by APEs. Conclusion: This study highlights the need to pay attention to the determinants of demand and supply of community interventions in health, to understand the opportunities and challenges of the difficult interface role played by APEs and to create communication among stakeholders in order to build a stronger, more effective and equitable community programme.Instituto de Higiene e Medicina Tropical (IHMT)Global Health and Tropical Medicine (GHTM)RUNGive, Celso SoaresSidat, MohsinOrmel, HermenNdima, SozinhoMcCollum, RosalindTaegtmeyer, Miriam2018-05-11T22:02:37Z2015-09-012015-09-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.1186/s12960-015-0044-0engPURE: 1715934http://www.scopus.com/inward/record.url?scp=84940483231&partnerID=8YFLogxKhttps://doi.org/10.1186/s12960-015-0044-0info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T04:20:02Zoai:run.unl.pt:10362/36584Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:30:34.165044Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Exploring competing experiences and expectations of the revitalized community health worker programme in Mozambique
An equity analysis
title Exploring competing experiences and expectations of the revitalized community health worker programme in Mozambique
spellingShingle Exploring competing experiences and expectations of the revitalized community health worker programme in Mozambique
Give, Celso Soares
Community
Community health workers
Equity
Mozambique
Public Administration
Public Health, Environmental and Occupational Health
SDG 3 - Good Health and Well-being
title_short Exploring competing experiences and expectations of the revitalized community health worker programme in Mozambique
title_full Exploring competing experiences and expectations of the revitalized community health worker programme in Mozambique
title_fullStr Exploring competing experiences and expectations of the revitalized community health worker programme in Mozambique
title_full_unstemmed Exploring competing experiences and expectations of the revitalized community health worker programme in Mozambique
title_sort Exploring competing experiences and expectations of the revitalized community health worker programme in Mozambique
author Give, Celso Soares
author_facet Give, Celso Soares
Sidat, Mohsin
Ormel, Hermen
Ndima, Sozinho
McCollum, Rosalind
Taegtmeyer, Miriam
author_role author
author2 Sidat, Mohsin
Ormel, Hermen
Ndima, Sozinho
McCollum, Rosalind
Taegtmeyer, Miriam
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Instituto de Higiene e Medicina Tropical (IHMT)
Global Health and Tropical Medicine (GHTM)
RUN
dc.contributor.author.fl_str_mv Give, Celso Soares
Sidat, Mohsin
Ormel, Hermen
Ndima, Sozinho
McCollum, Rosalind
Taegtmeyer, Miriam
dc.subject.por.fl_str_mv Community
Community health workers
Equity
Mozambique
Public Administration
Public Health, Environmental and Occupational Health
SDG 3 - Good Health and Well-being
topic Community
Community health workers
Equity
Mozambique
Public Administration
Public Health, Environmental and Occupational Health
SDG 3 - Good Health and Well-being
description PMID: 26323393 WOS:000360350200001
publishDate 2015
dc.date.none.fl_str_mv 2015-09-01
2015-09-01T00:00:00Z
2018-05-11T22:02:37Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://doi.org/10.1186/s12960-015-0044-0
url https://doi.org/10.1186/s12960-015-0044-0
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv PURE: 1715934
http://www.scopus.com/inward/record.url?scp=84940483231&partnerID=8YFLogxK
https://doi.org/10.1186/s12960-015-0044-0
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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